| NPI | 1700361821 |
|---|---|
| Doing Business As | HEALTH AND/OR ALLIED SERVICE |
| Entity Type | Organization |
| Authorized Contact | VCITORIA HOWARD Owner 251-643-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |